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@ffi
trro S
ubm
it by
mai
l or
by
hand
to:
Syr
acus
e La
ndm
ark
Pre
serv
atio
n B
oard
City
Hal
I C
omm
ons,
Roo
m 5
1220
1 E
. W
ashi
ngto
n S
tree
tS
yrac
use,
NY
132
02
Ele
ctro
nic
subm
issl
ons
to:
SlP
B@
sy'g
ov.n
et
AP
PLI
CA
TIO
N
Pho
ne:
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il.W
ork
is p
ropo
sed
for
prop
erty
at
(add
ress
):
SY
RA
CU
SE
LAIV
DM
AR
KP
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SE
RV
AT
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BO
AR
D
Cer
tific
ate
of A
poro
oria
tene
ss A
pnlic
atio
n
Cas
e N
umbe
r:
App
lican
t's N
amel
is p
rope
rty
is:
indi
vidu
al P
rote
cted
Site
loca
ted
with
in a
Pre
serv
atio
n D
istr
ict
Thi
s ap
plic
atio
n is
for
the
follo
win
g (c
heck
as
man
y as
app
ropr
iate
; co
mpl
ete
only
the
par
ts
indi
cate
d w
ith e
ach
wor
k ite
m):
tr P
artia
l or
com
plet
e de
mol
ition
(C
ompl
ete
Par
t 1)
E A
ltera
tion
to t
extu
re o
r m
ater
ial c
ompo
sitio
n of
bui
ldin
g ex
terio
r (C
ompl
ete
Par
t2)
tr A
ltera
tion
to t
extu
re o
r m
ater
ial c
ompo
sitio
n of
bui
ldin
g in
terio
r (o
nlv
if in
terio
r is
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gnat
ed a
Pro
tect
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ite;
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plet
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art
2)tr
Cha
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in c
olor
(C
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Par
t 3)
tr C
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ing
(Com
plet
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art
3)tr
Add
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to
exis
ting
build
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(Com
plet
e P
art
4)tr
New
bui
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nstr
uctio
n (C
ompl
ete
Par
t 4)
tr A
ltera
tion
to s
ite in
clud
ing
exca
vatio
n, c
hang
e in
land
con
tour
s, i
nsta
llatio
n of
pav
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t
for
park
ing
lots
, dr
ivew
ays,
or
side
wal
ks (
Com
plet
e P
art
5)tr
Dep
osit
of r
efus
e or
was
te m
ater
ial (
Com
plet
e P
art
5)tr
Cha
nge
in s
igna
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r ad
vert
isin
g (C
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Par
t 6)
App
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t's S
iD
ate:
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ner's
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nD
ate:
S"t
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O3.
O
*Sub
mis
sion
of
this
of a
Cer
tific
ate
of A
ppro
pria
tene
ss d
oes
not
relie
ve t
he
appl
ican
t of
his
/her
res
pons
ibili
ties
in o
btai
ning
oth
er p
erm
its a
nd/o
r ap
prov
als
as p
resc
ribed
by
law
.
The
Syr
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ark
Pre
serv
atio
n B
oard
use
s tlt
e U
nite
d S
tate
s S
ecre
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of
the
Inte
rior's
Sta
ndar
ds
as g
uide
lines
for
revi
ew o
f pro
posa
ls.
A c
opy
of th
ese
stan
dard
s is
ava
ilabl
e at
the
SLP
B ff
ice
or o
nlin
ear
http
s:/iw
ww
.nps
.gov
itps/
stan
da
.
512
City
HaU
Com
mon
s,20
l E
, W
ashi
ngto
n S
t, S
yrac
use,
New
Yor
k 13
202/
(315
) 44
8-81
08/S
lPB
@sy
rgov
.net
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RA
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LAN
DM
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RD
Cer
tific
ate
of A
ppro
nria
tene
ss A
nnlic
atio
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Cas
e N
umbe
r:
WIN
DO
W S
UR
VE
Y F
OR
MR
equi
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for
all
win
dow
rep
lace
men
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:
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fixed
gla
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nto
fram
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open
) -
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num
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uld
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trat
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e
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s yo
u se
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o ad
dres
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tion)
lege
nd o
r im
age
of t
he s
ide
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e pr
oper
ty w
here
the
win
dow
is lo
cate
d.
512
City
Hsl
l Com
mon
s, 2
01 E
. lla
shin
gton
SL,
Syr
acus
e, N
ew Y
ork
1320
2/(3
15)
448-
8108
/SlP
B@
syrg
ov.n
et
The
Woo
d-U
ltrex
Ins
ert
Dou
ble
Hun
g w
indo
w's
fra
me-
inJr
ame
desi
gn i
s pr
ecis
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built
to
each
uni
que
win
dow
ope
ning
, al
low
ing
{or
a cl
ean
repl
acem
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with
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dist
urbi
ng t
he e
xist
ing
jnte
rior
or
exte
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trim
. R
ich
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d in
terio
rs a
re c
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ted
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ltrex
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ed f
iber
glas
s ex
terio
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nd a
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or
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per{
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ance
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dur
abili
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hat
blen
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ssly
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ith
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e de
sign
. W
th P
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rade
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ings
o{ 35
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thi
s
win
dow
is
Bui
lt to
Per
{orm
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the
tou
ghes
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